{"id":31236,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/paracentesis-terapeutica-en-la-ascitis-refractaria-y-recidivante-comparacion-con-la-anastomosis-peritoneo-venosa-prevencion-y-significacion-clinica-de-la-hipovolemia-efectiva-post-paracentesis\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"paracentesis-terapeutica-en-la-ascitis-refractaria-y-recidivante-comparacion-con-la-anastomosis-peritoneo-venosa-prevencion-y-significacion-clinica-de-la-hipovolemia-efectiva-post-paracentesis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/paracentesis-terapeutica-en-la-ascitis-refractaria-y-recidivante-comparacion-con-la-anastomosis-peritoneo-venosa-prevencion-y-significacion-clinica-de-la-hipovolemia-efectiva-post-paracentesis\/","title":{"rendered":"Paracentesis terapeutica en la ascitis refractaria y recidivante. comparacion con la anastomosis peritoneo-venosa. prevencion y significacion clinica de la hipovolemia efectiva post-paracentesis."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eugeni Domenech Morral <\/strong><\/h2>\n<p>La paracentesis constituye una opcion terapeutica en los pacientes cirroticos que presentan ascitis refractaria al tratamiento medico. En el primer estudio de la tesis se compara dicho tratamiento con la anastomosis peritoneo-venosa de leveen modificada con una punta de titanio con el fin de reducir la obstruccion de la misma.  los resultados demuestran una mayor eficacia de la anastomosis sobre la paracentesis en cuanto al control de la ascitis, pero esto no se acompa\u00f1a de una mejor calidad de vida ni de una mayor supervivencia.  en el segundo estudio, se comparan tres soluciones expansoras del plasma distintas (albumina, dextrano-70 y poligelina) para la prevencion de hipovolemia efectiva tras paracentesis terapeutica. Los resultados obtenidos indican que la albumina es significativamente mas efectiva que los otros dos expansores en la prevencion de la hipovolemia efectiva, especialmente cuando la cantidad de liquido ascitico extraido supera los cinco litros. Por otra parte, este estudio constata que la hipovolemia efectiva secundaria a la practica de paracentesis evacuadora es un trastorno con caracter persistente y que constituye un importante factor predictivo independiente de mortalidad, comportando un peor pronostico en aquellos pacientes cirroticos que la presenten.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Paracentesis terapeutica en la ascitis refractaria y recidivante. comparacion con la anastomosis peritoneo-venosa. prevencion y significacion clinica de la hipovolemia efectiva post-paracentesis.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Paracentesis terapeutica en la ascitis refractaria y recidivante. comparacion con la anastomosis peritoneo-venosa. prevencion y significacion clinica de la hipovolemia efectiva post-paracentesis. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eugeni Domenech Morral <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Gassull Duro Miguel Angel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Bruguera Cortada <\/li>\n<li>Josep Mar\u00eda Pique Badia (vocal)<\/li>\n<li>Manel Monreal Bosch (vocal)<\/li>\n<li>Mar\u00eda Buti Ferret (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eugeni Domenech Morral La paracentesis constituye una opcion terapeutica en los pacientes cirroticos que presentan ascitis refractaria [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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